Joining hands to address a neglected issue

1. Challenges in the Implementation of Regional Strategy for HIV Vulnerability reduction of Migrant and Mobile Populations in the South East Asia countries and Southern provinces of China Joining hands to address a neglected issue Dr. Phalla Tia , Manager of United Regional Task Force (UNTRF) on Mobility and HIV Vulnerability Reduction

2. Presentation outline • Making the case : Why Migrant and Mobile Populations (MMPs) are vulnerable? • Building the response : Regional and national mechanism • Challenges & Opportunities : • human resources: capacity building • financial resources : making the money works

3. Why a special attention for MMPs in South East Asia region ? • Massive increase of population mobility in scale and diversity: e.g Labor migrants • Within countries ( 100 Millions ?) • Between countries ( 20 Millions? ) • South- South • South – North e.g Students, tourists,… ...but the figure is not well known (because it is constantly changing and hidden)

4. Why a special attention for MMPs in South East Asia region ? • HIV Vulnerability of MMPs is documented • Increase of risky behavior • Access to services and Information neglected • Marginalized population • Dynamics of population movement within the HIV epidemicis not very well addressed • ...and the cost of inaction is not known • ...Resulting in a lack of support and low coverage of interventions

5. MMPs dynamic in HIV/AIDS epidemic

6. Mobile men tend to be at higher risk than the general male population HIV Vulnerability on MMPs Percentage of men paying fort sex in the past 12 months High risk Occupations ( i.e truck drivers, police, sailors ) General male population Source : Family Health International , 2005

8. The dynamics of population movement within HIV epidemic MMPs ? ? ? IDUs Clients sex industry FSW MSM Low or no risk females Lowor no risk males Source : WPRO Routes of HIV epidemic in Asia & the Pacific 2002

10. How to solve the problem ? Operationalzing the Regional Strategy on Mobility and HIV Vulnerability Reduction in South East Asia Countries and the Southern provinces of China ,2006-2008 PARTNERSHIP POLCIES Partnershipfor People-Centered Development Approach Enabling and Empowering Environment Coordination, M&E SERVICES Prevention, Care and Support Guidelines

11. UNRTF on Mobility and HIV Vulnerability Reduction Regional level ASEAN SUMMIT Steering Committee ( Executing arm of the Task Force) UN Resident Coordinator Convener Manager NGO MEMBERS CARAM, MFA , CARE, APN+ AGENCY MEMBERS UNAIDS, UNDP, IOM, CIDA, UNESCO , ASEAN Task Force on HIV/AIDS COUNTRIES MEMBERS ASEAN TASK FORCE ON HIV/AIDS ADVOCACY SUB GROUP RESEARCH SUB GROUP CSOs SUB GROUP RESOURCE MOB SUB GROUP Country level

12. Mandate of United Regional Task Force (UNTRF)on Mobility and HIV Vulnerability Reduction The task force identifies priorities and gaps and facilitates programmatic, policy and advocacy actions to reduce mobility-related HIV vulnerability and addresses issues of care and support.

13. Mandate of UNTRF MTWG ADVOCACY SUB GROUP WHO? • Regional • Strategy on • Mobility and HIV Vulnerability Enabling... RESEARCH SUB GROUP UNRTF CSOs SUB GROUP RESOURCE MOB SUB GROUP WHAT? Interventions

14. Data on Cross-border Migrants Filling the gaps in the response • NO DATA . NO PROBLEM... • Origin countries : beyond the reach, not counted • Destination countries : • counted in term of labour migrants • HIV Vulnerability reduction : • not seen as a direct obligation of destination country • Enforcement of International legal instruments related to MMPs ‘ HIV vulnerability NO DATA BIG PROBLEM ...reach and count ...common social responsibility for transboundaries issues

15. Filling the gaps in the response Data on Cross-border Migrants • No surveillance data for both sides : The complete picture of HIV/AIDS of Cross Border Migrants is missing • The dynamics of the MMPs for within HIV epidemic to both origin and destination countries have not been clearly demonstrated ...include MMPs as the surveillance system ...demonstrate the dynamics

16. Filling the gaps in the response PARTNERSHIP Government Policy makers Technicians BUSINESS SECTOR Donors NGOs CSOs MMPs Migrant and Mobile Populations NGOs NGOs

17. Filling the gaps in the response PARTNERSHIP Government Policy makers Technicians BUSINESS SECTOR Assessment of Urban Migration Policy Donors: USDOL, USAID VAAC NGOs: Smart Work CSOs:Labor Union MMPs Migrant and Mobile Populations NGOs: Life-Gap NGOs

20. Filling the gaps in the response NATIONAL RESPONSE MECHANISM Political Political National Responsibility Mechanism National Responsibility Mechanism Technical Technical Interventions Interventions Target population Target population

21. Filling the gaps in the response NATIONAL RESPONSE MECHANISM I . Enabling IV . Institutional Framework II . Partnership III . Services

22. TEAM SOCCER MOBILITY&HIV VULNERABILITY WORKING GROUP

23. Mobility Technical Working Group Coordinate with different stakeholders for program design , implementation and follow up • advocate for unified data ( the three ones principles ) • review policies and programs • follow up the implementation of the agreement (decrees , MOUs, international conventions..) • mobilize the resource • contribute with other countries to bargain for support to inter-country coordination and national response

24. SHIFTING ROLE OF NATIONAL AIDS PROGRAM Infrastructure Transport Workplace CSOs

25. SUPPORT TO COUNTRIES

26. Filling the gaps in the response REGIONAL COORDINATION China (Yunnan) Ministry of Labour's MOU Viet Nam Myanmar Lao PDR Thailand Philippines Cambodia Ministry of Health's MOU Brunei Malaysia Singapore 12th ASEAN SUMMIT DECLARATION Indonesia

27. Challenges and Opportunities • Build technical capacity ( health and others) • Strengthening Institutional capacity • Filling the gaps in human resource • Improve coordination • horizontal • vertical • Sustain the response with ownership

28. Joining hands to address a neglected issue Increase the coverage